Economic Impact on Health-Care Costs Related to MajorDiseases Including HIV/AIDS
due to Alcohol Drinking among Thai Populations.


Prapag Neramitpitagkul 1,2 Chanida Lertpitakpong 2 Jomkwan Yothasamut 2

Montarat Thavorncharoensap 1,2 Usa Chaikledkaew 1,2 Yot Teerawattananon 2

1Department of Pharmacy, Faculty of Pharmacy, Mahidol University, Bangkok,Thailand
2Health Intervention and Technology Assessment Program, Ministry of Public Health, Nonthaburi,Thailand



The objective of this study was to estimate health-care costs because of diseases caused by alcohol consumption based on health systems perspective.


Total direct health-care costs of alcohol drinking were the summation of the costs of alcohol drinking in inpatient and outpatient departments due to chronic diseases and acute conditions using prevalence-based approach. The alcohol-attributable fractions, defined as the proportion of a disease or acute condition in a population attributable to alcohol drinking, were calculated to obtain the number of patients in each disease or acute condition attributable to alcohol drinking. Health-care costs of alcohol drinking were estimated by multiplying the number of patients in each disease category attributable to alcohol drinking with the unit cost of treatment.


Total health-care costs attributed to alcohol in this research were 5491 million baht (i.e., outpatient department [2488 million baht] and inpatient department [3003 million baht]). Cost derived from inpatient department accounted for 55% of the total health-care cost attributed to alcohol.


The result of this study suggested that alcohol drinking was significantly associated with a large number of health-care costs in Thailand. Estimation of health-care costs related to alcohol drinking would provide an important insight into future policy appraisal and evaluation. 


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